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CATA 337 - fall 2022 > Lecture 6 - Hip/Thigh Ax > Flashcards

Lecture 6 - Hip/Thigh Ax Flashcards

1
Q

Largest and most stable joints in the body

A

Hip joint

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2
Q

Type of joint for hip

A

Multiaxial ball-and-socket joint

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3
Q

T or F: Humerus is much more stable in the glenoid of the shoulder than the femur is in the acetabulum for the hip

A

FALSE, femur in acetabulum more stable

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4
Q

Role of the labrum (2)

A

Deepen and stabilize the joint

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5
Q

3 strong ligaments of the hip

A

Iliofemoral, ischiofemoral and pubofemoral

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6
Q

Under low loads, the joint surfaces are ___
Under heavy loads, they become ___ ; providing maximum surface contact

A

Incongruous
Congruous

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7
Q

Hip joint - resting position
Close packed position
Capsular pattern

A

30° flexion, 30° abduction, slight external rotation
Full extension, medial rotation, and abduction
Flexion -> abduction -> medial/internal rotation

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8
Q

The 3 ligaments limit __ and ___
Pubofemoral limits to ___

A

Extension and medial rotation
Abduction

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9
Q

Hx - Pain locations and sensations (3)

A

Anterior
Posterior
Clicking/snapping

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10
Q

Hx - anterior hip pain

A

Labral tears, impingement

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11
Q

Hx - posterior hip pain

A

Posterior labral tears, back/pelvis

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12
Q

Hx - clicking and snapping

A

Internal, external, intra-articular

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13
Q

When hip is affected, length of the step on affected side is ___ so that weight can be taken off leg ____

A

Shorter / quickly

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14
Q

In standing, the patient commonly has the hip slightly ___ if there is pain in the hip

A

flexed

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15
Q

What do you look for in observation from front, side and back? (6)

A

Posture
Symmetry of weight bearing
Balance
Limb positions
Leg length
Ease of movement

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16
Q

Examination (5)

A

Active movements
Passive movements
Resisted isometric movements
Functional assessment
Special tests

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17
Q

A/P/R for flexion (angle)

A

110-120°

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18
Q

A/P/R for extension(angle)

A

10-15°

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19
Q

A/P/R for abduction (angle)

A

30-50°

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20
Q

A/P/R for adduction (angle)

A

30°

21
Q

A/P/R for lateral rotation (angle)

A

40-60°

22
Q

A/P/R for medial rotation (angle)

A

30-40°

23
Q

Normal end feel - Passive mvts = Flexion

A

Tissue approximation or tissue stretch

24
Q

Normal end feel - Passive mvts = Extension

A

Tissue stretch

25
Q

Normal end feel - Passive mvts = Abduction

A

Tissue stretch

26
Q

Normal end feel - Passive mvts = Adduction

A

Tissue approximation or tissue stretch

27
Q

Normal end feel - Passive mvts = Medial rotation

A

Tissue stretch

28
Q

Normal end feel - Passive mvts = Lateral rotation

A

Tissue stretch

29
Q

Special considerations for resisted isometric movements at the hip

A

RROM for flexion and extension of knee must be performed because two joints muscle (hamstrings and rectus femoris) act over the knee as well as the hip

30
Q

Function - Shoe tying

A

120° of flexion

31
Q

Function - sitting (average seat height)

A

112° of flexion

32
Q

Function - stooping

A

125° of flexion

33
Q

Function - squatting

A

115° of flexion
20° of abduction
20° of medial rotation (internal)

34
Q

Function - ascending stairs

A

67° of flexion

35
Q

Function - descending stairs

A

36° of flexion

36
Q

Function - putting foot on opposite thigh

A

120° of flexion
20° of abduction
20° of lateral rotation (external)

37
Q

Function - putting on trousers

A

90° of flexion

38
Q

Functional tests of the hip (9)

A
  1. Squatting
  2. Going up and down stairs one at a time
  3. Crossing the legs so that the ankle of one foot rests on the knee of opposite leg
  4. Going up and down stairs two at a time
  5. Running straight ahead
  6. Running and decelerating
  7. Running and twisting
  8. One-legged hop (time, distance, power)
  9. Jumping
39
Q

Roles/objectives of the special tests (3)

A

Confirm diagnosis
Determine pathology
Support history, observation, and clinical examination

40
Q

Special test for the hip (10)

A

Faber/Fader test
Tests for labrum
Trendelenburg’s sign
Leg length test
Thomas test
Rectus femoris test (Kendal or Mod thomas)
Ober’s test
90-90 straight leg raise test
Specific muscle testing
Flexibility testing

41
Q

Trendelenburg’s test +ive indicates what

A

Glute medius diffeciency

42
Q

2 types of leg length discrepancy

A

Anatomical/structural or functional

43
Q

Fulcrum test of the hip

A

Examiner places arm under femur and carefully applies a downward force at the knee
= Test for femoral stress fracture

44
Q

Adductor squeeze test

A

Reproduction of the patient’s pain indicates a positive test for adductor pathology

45
Q

Read end of ppt for multiple test

A

p.45-50

46
Q

T or F: no reflexes around the hip can be evaluated easily

A

TRUE

47
Q

True hip pain is usually referred to where?

A

The groin

48
Q

See p. 51-52 for dermatomes and sensory distribution

A

READ AND LEARN

CATA 337 - fall 2022 (16 decks)

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